Observations on the natural history of massive lumbar disc herniation

被引:72
作者
Cribb, G. L. [1 ]
Jaffray, D. C. [1 ]
Cassar-Pullicino, V. N. [1 ]
机构
[1] Robert Jones & Agnes Hunt Orthopaed Hosp, Oswestry SY10 7AG, Shrops, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2007年 / 89B卷 / 06期
关键词
D O I
10.1302/0301-620X.89B6.18712
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We have treated 15 patients with massive lumbar disc herniations non-operatively. Repeat MR scanning after a mean 24 months (5 to 56) showed a dramatic resolution of the herniation in 14 patients. No patient developed a cauda equina syndrome. We suggest that this condition may be more benign than previously thought.
引用
收藏
页码:782 / 784
页数:3
相关论文
共 15 条
[1]
Lumbar disc herniations - Surgical versus nonsurgical treatment [J].
Awad, John N. ;
Moskovich, Ronald .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (443) :183-197
[2]
LUMBAR-DISK HERNIATION - MR-IMAGING ASSESSMENT OF NATURAL-HISTORY IN PATIENTS TREATED WITHOUT SURGERY [J].
BOZZAO, A ;
GALLUCCI, M ;
MASCIOCCHI, C ;
APRILE, I ;
BARILE, A ;
PASSARIELLO, R .
RADIOLOGY, 1992, 185 (01) :135-141
[3]
THE NATURAL-HISTORY OF SCIATICA ASSOCIATED WITH DISK PATHOLOGY - A PROSPECTIVE-STUDY WITH CLINICAL AND INDEPENDENT RADIOLOGIC FOLLOW-UP [J].
BUSH, K ;
COWAN, N ;
KATZ, DE ;
GISHEN, P .
SPINE, 1992, 17 (10) :1205-1212
[4]
FAGERLUND MKJ, 1990, ACTA RADIOL, V31, P555
[5]
FARDON DF, 2001, SPINE, V5, P93
[6]
Vascular and visceral injuries associated with lumbar disc surgery: Medicolegal implications [J].
Goodkin, R ;
Laska, LL .
SURGICAL NEUROLOGY, 1998, 49 (04) :358-370
[7]
Natural course of disc morphology in patients with sciatica - An MRI study using a standardized qualitative classification system [J].
Jensen, Tue S. ;
Albert, Hanne B. ;
Soerensen, Joan S. ;
Manniche, Claus ;
Leboeuf-Yde, Charlotte .
SPINE, 2006, 31 (14) :1605-1612
[8]
Primary and revision lumbar discectomy - A 16-year review from one centre [J].
Morgan-Hough, CVJ ;
Jones, PW ;
Eisenstein, SM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (06) :871-874
[9]
SPINAL CANAL IN SYMPTOMATIC LUMBAR-DISK LESIONS [J].
PORTER, RW ;
HIBBERT, CS ;
WICKS, M .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1978, 60 (04) :485-487
[10]
Spondylodiscitis after lumbar discectomy - Incidence and a proposal for prophylaxis [J].
Rohde, V ;
Meyer, B ;
Schaller, C ;
Hassler, WE .
SPINE, 1998, 23 (05) :615-620